Centres Of Excellences

Clinical Haematology & Stem Cell Transplantation

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The Department of Clinical Haematology at Amrita Hospital provides medical expertise for the treatment and prevention of haematological neoplasms in adults and children. Facilities are available to undertake outpatient chemotherapies in a specialised day care unit. Specialised methods of administering chemotherapy include the use of indwelling catheters and chemo ports.

Services Offered

  • Haematological Cancer Care (Leukemia, Lymphoma & Myeloma).
  • Stem Cell Transplantation (autologous and allogeneic).
  • Haemostasis and thrombosis care including Haemophilia Comprehensive Care Centre and anticoagulant services.
  • General Haematology.
  • Haemoglobinopathies – including a specialist Sickle Cell and Thalassaemia Centre.

Disorders Treated

  • Leukemia; Lymphoma
  • Myeloma
  • Paediatric Haemopoitic disorders including Leukemia/Lymphoma
  • Coagulation disorders
  • Haemophilia
  • Thrombotic disorders
  • Platelet disorders
  • Haemolytic anaemia
  • White cell disorders
  • Haemoglobinopathies
  • Red cell disorders - Anaemia, Polycythemia etc.

Clinical Haematology OPD Services

  • Consultant driven daily OPD services - Approximately 300-350 patients – both new and follow-up are seen here weekly. Patients with leukemia, lymphoma, myeloma, MPNs, benign haematological conditions like ITP, haemolytic anemia are evaluated and followed up here.
  • For chemotherapy administration there is a coexisting Day Care Centre manned by trained nurses.
  • There is also a daily blood and blood component transfusion area for patients with MDS/ aplastic anemia and those who require regular transfusion supports.
  • Patients are seen daily with appointments and walk-in patient.

Thrombosis Clinic

There is twice a week thrombosis clinic run by faculty with integrated pathology backup where patient with thrombosis are treated and followed up.

Haemophilia Clinic

  • This multidisciplinary clinic is part of Haematology and is conducted once weekly. The clinic has haematologists, haematopathologists, orthopaedician, physiatrists, physiotherapists, medical social workers, haemophilia nurses and clinical pharmacist. It evaluates, as a team, patients planned for complex haemophilia surgeries.
  • Haemophilia prophylaxis and on demand administration of factors - Done by trained nurses. Factors are provided by the World Federation of Hemophilia.

Bone Marrow Transplant (BMT) Clinic

Patient for and after BMT is seen here by a dedicated BMT team which include faculty, BMT nurse and social worker. Facilities for video consenting, counseling are part of this. It’s held three days a week. Read More

Paediatric Haematology Clinic

Caters to patients from neonatal age group to adolescents with inherited and acquired blood and bone marrow disorders which includes primary immunodeficiency diseases, benign, malignant, autoimmune disorders affecting haematopoietic system. Inherited and acquired cytopenias, thrombophilias and bleeding diathesis are also offered supportive and curative management as indicated.

The department works in liaison with other superspecialities catering to paediatric patients to offer consultative haematology support for surgical procedures which may be needed for patients with haematological disorders.

IP Services

Clinical Haematology and Stem Cell Transplantation has approximately 45-50 inpatients under our care. This include adult and paediatric patients in the bone marrow transplant unit, ICUs, private rooms and wards. The care is provided by a team trained in haematology comprising of consultants, fellows, physician assistants, clinical pharmacists, medical social workers and nurses.

A team of nurses specially trained in care of indwelling venous catheters cater to all patients with PICC lines and central venous catheters to ensure sterile and hygienic care.

In house blood bank provides excellent support with blood and blood components (PRBC, platelets, plasma, cryoprecipitate, granulocytes). Irradiation of blood products is regularly done.

In house haematopathology and coagulation lab, cytogenetics, molecular biology, flow cytometry labs along with virology and microbiology provide round-the-clock services. State-of-the-art Radiology services are also available. All clinical departments provide consultative and interventional services to provide patient centered holistic care.

Procedures

  • Daily bone marrow examination is done here under local anaesthesia- samples are processed in-house and also sent to outside laboratories for appropriate tests. Approximately 8-10 bone marrow examinations are done daily in this area.
  • Patients also undergo bone marrow examination daily under GA in the adjacent OT.
  • Intrathecal administration of chemotherapy is done daily.
  • All procedures are done by qualified medical doctors under complete aseptic precautions.

Haemophilia & Thalassemia Clinic in Aluva General Hospital

As part of outreach clinics to serve the needs of the larger community, dedicated faculty from Department of Haematology offer their services free of charge on a regular basis to the Haemophilia & Thalassemia Clinic and Transfusion Centre in Aluva General Hospital.

Clinical Pharmacist

Clinical Pharmacist (CP) service is vital in our team to provide complete support and guidance towards each patient those who come under the treatment of us in the means of medication counseling and in error-free chemotherapy protocol preparation, with guided administration.

They are responsible for minimizing drug waste, managing drug shortages, and decreasing exposure to hazardous drugs. CP are also viewed as medication experts who focus their time on providing direct patient care, offering patient education, and participating in clinical decision making. Because of their expert knowledge of medications, CPs play an important role in educating patients, caregivers, and other health care professionals. With education and pre- and post-treatment planning, many adverse effects (AEs) of chemotherapy can be managed, thereby increasing regimen tolerance, decreasing extra visit costs, and improving quality of life for patients. As cancer therapies become more targeted and personalized, these skilled pharmacists are key resources in educating and managing the AEs and toxicities of treatment, while emphasizing the importance of medication adherence and providing supportive care. Because of their therapeutic and regulatory knowledge, CPs are also positioned to be influential in the development of institutional evidence-based guidelines, policies, and standards. Moreover CP is an integral part of our bone marrow transplant team with the support of protocol preparation and medication counseling.

 

Our Clinical Pharmacist Services

  • OP consulting for those on maintenance therapy.
  • Review records of patients to determine the appropriateness of medication therapy.
  • Identify untreated health problems and refer patients to appropriate physicians.
  • Evaluate patient’s condition to ensure all issues are being treated.
  • Preparation of chemotherapy protocols and calculation of each patient dose.
  • Patient counseling and taking chemotherapy consent.
  • Oral anti coagulation dose adjustment on the basis of PT/INR values.
  • Develop effective medication plans that minimize the risk of adverse side effects.
  • Handling on-call mobile services and monitoring patient blood counts before and after chemotherapy and managing neutropenic care.
  • Assess the results of pharmaceutical treatments.
  • Collaborate with healthcare professionals to ensure optimal patient care.
  • Keep accurate documentation of medication plans and patient progress.
  • Haemophilia management services -

    • Counseling haemophilia patients regarding home care treatment.
    • Accounting, storage and dispensing of WFH donated Clotting Factor Concentrate, for patients registered under AIMS – HTC.
    • Evaluating patient compliance in hemophilia care.

Medical Social Worker Activities

Medical Social Worker- Role of Psychosocial Management

Our dedicated social work team helps patients and their families understand a particular illness, work through the emotions of a diagnosis, and provide counseling about the decisions that need to be made. Department social workers are also essential members of interdisciplinary treatment team. Our social workers work in association with doctors, nurses, and allied health professionals. Medical social workers use case management skills to help patients and their families address and resolve the social, financial and psychological problems related to their health condition.

Responsibilities

  • Initial screening and evaluation of patient and families.
  • Comprehensive psychosocial assessment of patients.
  • Helping patients/families adjust to hospital admission, possible role changes, exploring emotional/social responses to illness and treatment.
  • Facilitating decision making on behalf of patients and families.
  • Employing crisis intervention.
  • Coordinating patient discharge and continuity of care planning.
  • Educational class taking.
  • Collaborative role with multidisciplinary team.
  • Coordination of stem cell registries donor work up.
  • Manage and coordinate transplant activities with external stem cell registries like Datri, Gene bandhu, Marrow Donor Registry and DKMS.
  • Post transplant OP coordination.
  • Patients follow up services.
  • Act as a liaison between medical team and patients/caretakers.

Services offered

  • Psychosocial Counseling Services
  • Patient Education Services
  • Financial Assistance Services
  • Transplant Counseling Services
  • Grief Counseling Services

Contact Us

Phone:
OP Number : 0484 – 2853064
Duty Oncall : 7994999168
Clinical Pharmacist : 7994999049
Medical Social Worker : 7034028036 / 7034028615
Physician Assistant : 79949999780

Email: haematology@aims.amrita.edu

Doctors / Faculties-Clinical Haematology & Stem Cell Transplantation